Hi,Dear,Thanks for your query to HCM.
Dear I read your query and reviewed it with context to your query facts.
I understood your health concerns and feel Concerned about them.
Based on the facts of your query, you seem to suffer from-
-Chronic and very resistant
Orchitis with
Urethritis with
Epididymitis.
I would suggest you to have Ligase Chain Reaction to detect the Chronic
Gonorrhea and Chlamydial Infection with -Culture from Urethral scrapes and Testicular aspirates for confirming any continuing hidden infection in these tissues.
-There is need to rule out the non-bacterial chronic prostatitis/with urethritis with Orchitis.For this
IBS with diverticulitis/Crohons of the lower sigmoid bowel needs to be ruled out.The periprostatis / urethritis and orchitis needs to be ruled out in your case.
CT/MRI Abdomen and pelvis needed to rule out he CPPS-Chronic Prostatitis pelvic Syndrome.
-Gabapentine and Memantine may be tried along with Nitrofuranton antibiotic and with
Pyridium -for all the urethritis and epididymitis and orchitis in your case as the optional treatment.
-Intra-prostatitic Antibiotics with
hyaluronic acid with Vit C prostatic injections and infusions would be a boon in your case,but needs a very special follow up and evaluation for such a advanced treatment in very complicated and resistant disease which you suffer from.
Hope this reply would help you to plan further treatment with your family and specialist doctors there.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS